Individual
MR. FREDERICK R MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NONE
Contact information
Practice address
59 BRADT HILL RD, NORTHVILLE, NY 12134-5310
(518) 921-0976
Mailing address
59 BRADT HILL RD, NORTHVILLE, NY 12134-5310
(518) 921-0976
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
334986825
NY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
607400911
NY
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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